Question 1

I've been experiencing this really weird thing where I suddenly get dizzy and faint after using the bathroom. I woke up this last time with a hurt nose, and it's actually the third time it's happened over the past five years. The first two times, I had a fever, so I figured that was the cause, but this time I'm not sick. I've seen a bunch of doctors, but no one seems to figure it out. They keep asking if I have issues with my BP or if I'm feeling hot. I dont have any of these problems normally, so Im really puzzled. Could there be something else going on that were missing?

Accepted Answer

This episode of dizziness and fainting could be related to a condition called vasovagal syncope, which can be triggered by various factors such as urination. To help prevent these episodes, you can try increasing your fluid and salt intake to maintain blood pressure. Additionally, you can use medications like Fludrocortisone (brand name Florinef) at a dose of 0.1-0.2 mg per day to help increase blood volume and prevent episodes of fainting. It is important to discuss this with your doctor to see if this medication is suitable for you.

Question 2

I'm wondering how often I should be getting an ECG and an ECHO done. I had them both last year and everything was normal at that time. Now that I've been recently diagnosed with type 2 diabetes, which is under control, and Im also taking a 25mg beta ...

Accepted Answer

For a patient with well-managed type 2 diabetes and controlled blood pressure on a Betablocker, it is generally recommended to repeat an ECG and ECHO every 1-2 years to monitor cardiac function and assess for any changes. Since your last reports were normal and your conditions are well managed, you can discuss with your healthcare provider about scheduling these tests every 1-2 years to ensure everything remains stable.

Question 3

I'm experiencing some discomfort and I'm a bit worried. I've had pain on my left chest and left hand for about a week now. I went for a check-up, did an ECG and cholesterol test, but nothing was found. The doctor mentioned it might be a muscle proble...

Accepted Answer

It sounds like you may be experiencing muscle pain and possibly some inflammation in the chest and left hand. The glittering sensation could be due to nerve irritation. The difficulty in passing stool may be related to muscle strain or weakness. I recommend taking a muscle relaxant like Flexeril (cyclobenzaprine) 10mg twice daily for muscle pain. Additionally, you can take an anti-inflammatory medication like Ibuprofen 400mg three times a day for the inflammation. For the swelling, you can try applying a cold compress and elevating the affected area. If the symptoms persist or worsen, please follow up with your doctor for further evaluation.

Question 4

I'm really worried after getting my TMT test results from last month. It mentioned something about being mildly positive for provocable ischemia. Because of this, my term insurance got rejected, and I'm not sure if this is something serious. Could yo...

Accepted Answer

A mildly positive provocable ischemia test indicates temporary heart muscle reduced blood flow. Consult a cardiologist to:

Immediate Steps

1. Discuss test results and concerns.
2. Undergo additional tests (e.g., echocardiogram, stress echocardiogram) for further evaluation.
3. Address potential risk factors (e.g., hypertension, high cholesterol, smoking).

Potential Next Steps

1. Medications to manage risk factors.
2. Lifestyle changes (diet, exercise, stress management).
3. Re-evaluation after 3-6 months.

Term Insurance Options

1. Appeal the rejection with additional medical reports.
2. Consider alternative insurance providers.
3. Explore group insurance plans.

For personalized guidance, consult:

1. Cardiologist
2. Insurance expert
3. Primary care physician

Question 5

I'm worried about my husband's cholesterol level, which just came back at 214 mgdL. Is this considered high? What are some ways we can try to manage it without medication?

Accepted Answer

Continuous bleeding 3 months post-delivery is not normal. This condition is known as postpartum hemorrhage (PPH) or prolonged lochia.

_Possible Causes_

1. _Hormonal imbalance_: Changes in estrogen and progesterone levels can cause irregular bleeding.
2. _Uterine atony_: The uterus may not have contracted properly after delivery, leading to excessive bleeding.
3. _Retained placental tissue_: Small pieces of placenta may still be present in the uterus, causing bleeding.
4. _Infection_: Uterine infection or endometritis can cause prolonged bleeding.

_Remedies and Solutions_

1. _Consult your doctor_: Schedule an appointment with your obstetrician to rule out any underlying conditions.
2. _Ultrasound scan_: Your doctor may recommend an ultrasound scan to check for retained placental tissue or other abnormalities.
3. _Hormonal treatment_: Your doctor may prescribe hormonal medications to help regulate your menstrual cycle and reduce bleeding.
4. _Antibiotics_: If an infection is suspected, your doctor may prescribe antibiotics to treat it.

_When to Seek Immediate Medical Attention_

1. _Heavy bleeding_: If you experience heavy bleeding, soaking more than 2-3 pads or tampons per hour.
2. _Severe abdominal pain_: If you experience severe abdominal pain, cramping, or tenderness.
3. _Fever_: If you have a fever above 100.4F (38C).
4. _Dizziness or fainting_: If you experience dizziness, lightheadedness, or fainting.

Question 6

I've recently recovered from COVID, and I've noticed my pulse rate is usually between 55-59, but sometimes it jumps to around 60. Is this something I should be worried about? I've been on Ecosprin for the past five years after having an angiogram. Ju...

Accepted Answer

A pulse rate between 60-100 beats per minute is generally considered normal. A pulse rate of 55-60 may be on the lower side, but it can still be considered normal for some individuals, especially those who are physically fit. Since you have a history of taking Ecosprin after an angiogram, it's important to note that Ecosprin (aspirin) can sometimes lower the heart rate. If you are not experiencing any other symptoms such as dizziness, fainting, chest pain, or shortness of breath, a pulse rate of 55-60 may not be concerning. However, it's always a good idea to consult with your healthcare provider for personalized advice and monitoring.

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Related Questions

I'm wondering how often I should be getting an ECG and an ECHO done. I had them both last year and everything was normal at that time. Now that I've been recently diagnosed with type 2 diabetes, which is under control, and Im also taking a 25mg beta ...

I'm experiencing some discomfort and I'm a bit worried. I've had pain on my left chest and left hand for about a week now. I went for a check-up, did an ECG and cholesterol test, but nothing was found. The doctor mentioned it might be a muscle proble...

I'm really worried after getting my TMT test results from last month. It mentioned something about being mildly positive for provocable ischemia. Because of this, my term insurance got rejected, and I'm not sure if this is something serious. Could yo...

I'm worried about my husband's cholesterol level, which just came back at 214 mgdL. Is this considered high? What are some ways we can try to manage it without medication?

I've recently recovered from COVID, and I've noticed my pulse rate is usually between 55-59, but sometimes it jumps to around 60. Is this something I should be worried about? I've been on Ecosprin for the past five years after having an angiogram. Ju...

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